| LCA CASE NUMBER | I-200-19267-678790 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-09-27 |
| DECISION DATE | 2019-10-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | SYSTEMS ENGINEER III |
| SOC CODE | 15-1133 |
| SOC TITLE | SOFTWARE DEVELOPERS, SYSTEMS SOFTWARE |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-09-30 |
| END DATE | 2022-09-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | DELTA DENTAL OF CALIFORNIA |
| EMPLOYER ADDRESS1 | 560 MISSION STREET |
| EMPLOYER ADDRESS2 | 13TH FLOOR |
| EMPLOYER CITY | SAN FRANCISCO |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4159728300 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | LE |
| EMPLOYER POC FIRST NAME | ERIC |
| EMPLOYER POC JOB TITLE | PEOPLE SERVICES PROGRAM MANAGER |
| EMPLOYER POC ADDRESS1 | 111555 INTERNATIONAL DRIVE |
| EMPLOYER POC CITY | RANCHO CORDOVA |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95670 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 9168612740 |
| EMPLOYER POC EMAIL | ELE@DELTA.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | NADINE |
| AGENT ATTORNEY FIRST NAME | NADINE |
| AGENT ATTORNEY ADDRESS1 | 555 MONTGOMERY STREET |
| AGENT ATTORNEY ADDRESS2 | 4TH FLOOR |
| AGENT ATTORNEY CITY | SAN FRANCISCO |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 4159861446.0 |
| AGENT ATTORNEY EMAIL ADDRESS | NBAHNAN@FRAGOMEN.COM |
| LAWFIRM NAME BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN & LOEWY, LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 11155 International Drive |
| WORKSITE ADDRESS2 | Building B |
| LCA CASE WORKLOC1 CITY | Rancho Cordova |
| WORKSITE COUNTY | Sacramento |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95670 |
| LCA CASE WAGE RATE FROM | 105800.0 |
| LCA CASE WAGE RATE TO | 126500.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 99819.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 2019 |
| PW OTHER SOURCE | OES |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | BAHNAN |
| PREPARER FIRST NAME | NADINE |
| PREPARER BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN & LOEWY |
| PREPARER EMAIL | NBAHNAN@FRAGOMEN.COM |
